Individual
MARK HEMMERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
141 NW GREENWOOD AVE, SUITE 101, BEND, OR 97701-1973
(541) 316-0512
Mailing address
21343 STARLING DR, BEND, OR 97701-9559
(541) 316-0512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19193
OR
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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